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Planet Vision Eyecare Patient Forms

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Access Your Eye Care Forms Online

To help make your appointment as smooth and efficient as possible, we’ve made our patient forms available online. Forms can be downloaded, printed, and filled out by hand, then emailed, faxed, or brought with you to your appointment. If your form requires a PDF reader, you can click here to download AdobeReader® for free. As always, if you have any questions, we’re happy to help.

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Patient Intake Form

If you're visiting us for the first time, please complete our Patient Intake Form.

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Notice of Privacy

Please review and acknowledge our HIPAA Notice of Privacy Practices.

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Medical Release Form

This form is used to authorize the release of your medical records.

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Insurance Benefits

Fill out this form for our team to review your benefits before your appointment.

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Need Help With Your Forms? Just Ask

If you're unsure which forms to complete, prefer to fill them out in the office, or need assistance, we're here to help. Give us a call or stop by a few minutes early, and our team will be happy to walk you through the process.

Call 561-556-7001 Schedule Appointment